First Aid Kit - Replacement List

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Cabinets

• Is the cabinet dust proof

  Yes

  No

  N/A

• Is it adequately sized for the contents

  Yes

  No

  N/A

• Is there a list of F&CSD First Aiders in the cabinet

  Yes

  No

  N/A

Contents - Is the item (below) in the cabinet. - if NOT then add the required numbers into the "No" box

• First Aid booklet x 1

  Yes

  No

  N/A

• Logical resus-o-mask x1

  Yes

  No

  N/A

• Antiseptic Rapid Spray x1

  Yes

  No

  N/A

• Safety Pins x 10

  Yes

  No

  N/A

• Plastic Dressing - Band Aids x 50

  Yes

  No

  N/A

• Dressing Strip (100 x 7.5) x 1

  Yes

  No

  N/A

• Tape (paper - 1.25 x 900) x 1

  Yes

  No

  N/A

• Scissors x 1

  Yes

  No

  N/A

• Tweezer - disposable x 1

  Yes

  No

  N/A

• Disposable Gloves - disposable x 10

  Yes

  No

  N/A

• Triangular Bandage x 2

  Yes

  No

  N/A

• Gauze Swab (No3) x 4

  Yes

  No

  N/A

• Gauze conforming bandages (5cm) x 2

  Yes

  No

  N/A

• Gauze conforming bandages (2.5 cm) x 2

  Yes

  No

  N/A

• Non-adherent dressing (7.5 x 5cm) x 2

  Yes

  No

  N/A

• Non- adherent dressing (7.5 x 10cm) x 2

  Yes

  No

  N/A

• Crepe Bandage (2.5cm) x 1

  Yes

  No

  N/A

• Crepe Bandage (7.5cm) x 1

  Yes

  No

  N/A

• Eye Module x 1

  Yes

  No

  N/A

• Large wound dressing - No 15 x 1

  Yes

  No

  N/A

• Small wound dressing - No 13 x 1

  Yes

  No

  N/A

• Burns Module x 1

  Yes

  No

  N/A

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